PMID- 31657476 OWN - NLM STAT- MEDLINE DCOM- 20210205 LR - 20210205 IS - 1530-0277 (Electronic) IS - 0145-6008 (Print) IS - 0145-6008 (Linking) VI - 44 IP - 1 DP - 2020 Jan TI - Chronic Alcohol Consumption Enhances Skeletal Muscle Wasting in Mice Bearing Cachectic Cancers: The Role of TNFalpha/Myostatin Axis. PG - 66-77 LID - 10.1111/acer.14221 [doi] AB - BACKGROUND: Chronic alcohol consumption enhances cancer-associated cachexia, which is one of the major causes of decreased survival. The precise molecular mechanism of how alcohol consumption enhances cancer-associated cachexia, especially skeletal muscle loss, remains to be elucidated. METHODS: We used a mouse model of chronic alcohol consumption, in which 20% (w/v) alcohol was provided as sole drinking fluid, and Lewis lung carcinoma to study the underlying mechanisms. RESULTS: We found that alcohol consumption up-regulated the expression of MAFbx, MuRF-1, and LC3 in skeletal muscle, suggesting that alcohol enhanced ubiquitin-mediated proteolysis and LC3-mediated autophagy. Alcohol consumption enhanced phosphorylation of Smad2/3, p38, and ERK and decreased the phosphorylation of FOXO1. These are the signaling molecules governing protein degradation pathways. Moreover, alcohol consumption slightly up-regulated the expression of insulin receptor substrate-1, did not affect phosphatidylinositol-3 kinase, but decreased the phosphorylation of Akt and mammalian target of rapamycin (mTOR), and down-regulated the expression of Raptor and p70 ribosomal kinase S6 kinase, suggesting that alcohol impaired protein synthesis signaling pathway in skeletal muscle of tumor-bearing mice. Alcohol consumption enhanced the expression of myostatin in skeletal muscle, plasma, and tumor, but did not affect the expression of myostatin in non-tumor-bearing mice. In TNFalpha knockout mice, the effects of alcohol-enhanced expression of myostatin and protein degradation-related signaling molecules, and decreased protein synthesis signaling in skeletal muscle were abolished. Consequently, alcohol consumption neither affected cancer-associated cachexia nor decreased the survival of TNFalpha KO mice bearing cachectic cancer. CONCLUSIONS: Chronic alcohol consumption enhances cancer-associated skeletal muscle loss through suppressing Akt/mTOR-mediated protein synthesis pathway and enhancing protein degradation pathways. This process is initiated by TNFalpha and mediated by myostatin. CI - (c) 2019 by the Research Society on Alcoholism. FAU - Li, Yuanfei AU - Li Y AD - From the Department of Pharmaceutical Sciences (YL, FZ, SM, AL, HZ) College of Pharmacy and Pharmaceutical Sciences, Washington State University, Spokane, Washington. AD - Department of Oncology, (YL), The First Hospital of Shanxi Medical University, Taiyuan, China. FAU - Zhang, Faya AU - Zhang F AD - From the Department of Pharmaceutical Sciences (YL, FZ, SM, AL, HZ) College of Pharmacy and Pharmaceutical Sciences, Washington State University, Spokane, Washington. FAU - Modrak, Samantha AU - Modrak S AD - From the Department of Pharmaceutical Sciences (YL, FZ, SM, AL, HZ) College of Pharmacy and Pharmaceutical Sciences, Washington State University, Spokane, Washington. FAU - Little, Alex AU - Little A AD - From the Department of Pharmaceutical Sciences (YL, FZ, SM, AL, HZ) College of Pharmacy and Pharmaceutical Sciences, Washington State University, Spokane, Washington. FAU - Zhang, Hui AU - Zhang H AUID- ORCID: 0000-0002-6620-7173 AD - From the Department of Pharmaceutical Sciences (YL, FZ, SM, AL, HZ) College of Pharmacy and Pharmaceutical Sciences, Washington State University, Spokane, Washington. LA - eng GR - R15 AA024284/AA/NIAAA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20191111 PL - England TA - Alcohol Clin Exp Res JT - Alcoholism, clinical and experimental research JID - 7707242 RN - 0 (Mstn protein, mouse) RN - 0 (Myostatin) RN - 0 (Tumor Necrosis Factor-alpha) RN - 3K9958V90M (Ethanol) SB - IM MH - Animals MH - Cachexia/chemically induced/metabolism MH - Carcinoma, Lewis Lung/*metabolism MH - Ethanol/administration & dosage/*toxicity MH - Female MH - Mice MH - Mice, 129 Strain MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Muscle, Skeletal/drug effects/metabolism MH - Muscular Atrophy/*chemically induced/*metabolism MH - Myostatin/antagonists & inhibitors/*metabolism MH - Random Allocation MH - Tumor Necrosis Factor-alpha/antagonists & inhibitors/*deficiency PMC - PMC6980877 MID - NIHMS1056622 OTO - NOTNLM OT - Alcohol OT - Cancer-Associated Cachexia OT - Myostatin OT - Skeletal Muscle OT - TNFalpha COIS- Disclosures: The authors have no financial conflicts of interest. EDAT- 2019/10/28 06:00 MHDA- 2021/02/07 06:00 PMCR- 2021/01/01 CRDT- 2019/10/29 06:00 PHST- 2019/07/23 00:00 [received] PHST- 2019/10/03 00:00 [revised] PHST- 2019/10/23 00:00 [accepted] PHST- 2019/10/28 06:00 [pubmed] PHST- 2021/02/07 06:00 [medline] PHST- 2019/10/29 06:00 [entrez] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.1111/acer.14221 [doi] PST - ppublish SO - Alcohol Clin Exp Res. 2020 Jan;44(1):66-77. doi: 10.1111/acer.14221. Epub 2019 Nov 11.